Is craniotomy required for cerebral hemorrhage Does intracerebral hemorrhage require craniotomy?

For patients with intracerebral hemorrhage, who have a large amount of bleeding or a small amount of bleeding, but obviously cause no obvious improvement in intracranial hypertension symptoms, or cause cerebral thrombosis, craniotomy is generally recommended, and if there is a large area of intracerebral hemorrhage, craniotomy is also required.

For many patients who have had craniotomy, they will pay more attention to the impact after craniotomy, which is mainly to save the patient's life in a timely manner, and whether it will cause the corresponding sequelae of cerebral hemorrhage, it is necessary to conduct examination and comparison after craniotomy to be able to get a diagnosis.

Intracerebral hemorrhage refers to non-traumatic spontaneous hemorrhage in the brain parenchyma, ** diverse, most of which are caused by the rupture of blood vessels with small hypertension and arteriosclerosis, so it is also called hypertensive intracerebral hemorrhage.

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Intracerebral hemorrhage should not be prescribed, it is related to personal feelings, cerebral hemorrhage in addition to the small amount of bleeding, good state can be conservative, many need surgery, surgical methods include large bone valve hematoma removal, small bone window hematoma removal, both of these surgical methods require craniotomy, surgical trauma, serious sequelae, high cost, many patients' families are difficult to accept.

Cerebral hemorrhage requires a craniotomy to release pressure, and it is generally rescued and will have sequelae.

Whether a craniotomy is necessary depends on the location of the bleeding and the size of the bleeding.

A small amount of bleeding is generally conservative**, and it will be ** after bleeding absorption.

Dangerous bleeding requires surgery.

Patients with intracerebral hemorrhage do not necessarily have to have a craniotomy, but depend on the degree of the patient's condition. Intracerebral hemorrhage is a relatively critical disease in clinical practice, most of which can be obtained by conservative **, and patients can also get **, and for large bleeding amounts, craniotomy is required**.

Opinions and suggestions: After suffering from cerebral hemorrhage, you should actively go to a regular hospital for **, and the specific ** plan is subject to the dialectical guidance of the doctor after dialectic. Patients should rest more, avoid excessive mood swings, and ensure that blood pressure is stable.

First, it is important to be clear that not all intracerebral hemorrhages require craniotomy. Because there are many types of intracerebral hemorrhage, the common intracerebral hemorrhage is intracerebral hemorrhage, in addition to subarachnoid hemorrhage, subdural hematoma, epidural hematoma, etc. Collectively known as intracerebral hemorrhage.

Depending on the type and location of intracerebral hemorrhage, the method is also different. The need for surgery for the most common intracerebral hematomas should be determined based on the location of bleeding, the amount of bleeding, and the patient's overall symptoms. In most cases, hemorrhages below 30 mL above the tentorial of the cerebellum can be conserved**.

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Hello, not all cerebral hemorrhages require craniotomy, some can be done, some cannot be done or do not have to.

Suggestions: Hello, intracranial hemorrhage depends on the location, generally if the amount of < 40ml of bleeding, it is not necessary to operate, you can carry out internal medicine conservative**, let the bleeding absorb itself.

It depends on the amount of bleeding, the location of the bleeding, and the risk of surgery, which is something that the doctor considers.

This is not necessarily, the main thing is to see the size and location of the amount of bleeding, which needs to be diagnosed by experienced doctors. This specific issue cannot be analyzed in a nutshell.

Reasons for the need for craniotomy for intracerebral hemorrhage:

1. Bleeding site:

Latent hemorrhage should be prioritized for surgery, such as subcortical cerebellar hemorrhage, acute brainstem hemorrhage, and the surgical outcome is usually unsatisfactory.

2. Bleeding:

Usually cerebral hemisphere hemisphere hemorrhage greater than 30 mL and cerebellar hemorrhage greater than 10 mL are both indicated.

3. Consciousness disorder:

Surgery is not required for those who are conscious, have mild impairment after the onset of the disease, and then slowly deteriorate, and if they are moderately impaired when they come to the hospital, they should undergo surgery aggressively.

4. Evolution of the disease:

After bleeding, the disease progresses rapidly, and he falls into a coma for a short period of time, without considering surgery**.

5. There are heart, lung and kidney diseases before the onset of the disease

For those who have serious diseases such as heart, lungs, and kidneys before the onset of the disease, most of them do not consider surgery.

For patients with cerebral hemorrhage, how long the patient can survive after craniotomy depends on the specific situation of the patient. If the patient has a low amount of bleeding, the procedure goes smoothly and no new bleeding occurs after the operation, then in most cases, such patients will gradually recover. If there are no serious comorbidities or complications, such patients do not pose a significant threat to life, and patients can often achieve good results after surgery**, and some patients have a good prognosis.

For some patients, secondary bleeding occurs after surgery, or due to old age and frailty, there are more serious complications and conditions after surgery, such as severe lung infection, fungal infection, hypoproteinemia, deep vein thrombosis of the lower limbs, etc., which often threatens the patient's life.

The survival time after craniotomy of intracerebral hemorrhage is mainly related to the amount of bleeding and the location of bleeding. If the bleeding is substantial, aggressive surgery** may only delay survival, but these patients generally do not survive for more than three weeks. If the amount of bleeding is moderate, there is a high probability of survival after aggressive craniotomy, and there is a risk of vegetative survival in the future.

If the amount of bleeding is small, the patient may survive well after aggressive craniotomy, and there may be mild dysfunction in limb function, but it will not affect the patient's basic self-care.

Whether a craniotomy is required after cerebral hemorrhage depends on two aspects, 1: the size of the bleeding, if the amount of bleeding is large, an emergency craniotomy is required to relieve the pressure of blood clots on the brain and prevent the occurrence of cerebral herniation. 2：

The site of hemorrhage, usually spontaneous intracerebral hemorrhage, is in the bilateral basal ganglia of the brain, or the cerebellum; If the bleeding site is special and the amount of bleeding is not large at first, but if the bleeding continues to increase, it may cause death due to compression on the brainstem, the center of life, and a craniotomy or drill to clear the bleeding.

Therefore, if the cerebral hemorrhage meets the indications of craniotomy, and the patient has the conditions for surgery, it must need a craniotomy. Only by saving one's life first can we talk about whether the rest can be good, but even if it can be good, there will be sequelae such as hemiplegia and aphasia.

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The flowers in the greenhouse, therefore, our beauty is not because of careful cultivation, but from the invasion of cold winds. They have soft tenderness, and we have the abundance of thoughts; They have brilliant petals, and we have proud trunks.

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Surgery**,** my epilepsy, let me go from the original pain to happiness, so that I can now look at life more calmly, see the future bits and pieces, because now I am like a rainbow after the rain, brilliant and brilliant brbr end